MEDICARE: DR. MYLES SELIG WOLF MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	157288	MA
2	207RN0300X	Nephrology Physician	157288	MA
3	207RN0300X	Nephrology Physician	036134262	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	J24987	OTHER	MA	BCBS MA
3	157288	OTHER	MA	TUFTS HEALTH PLAN

General Provider Information

NPI Number	:	1629069927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MYLES SELIG WOLF MD

Provider Business Mailing Address
First Line	:	680 N. LAKE SHORE DRIVE, SUITE 1000
Second Line	:	NORTHWESTERN MEDICAL FACULTY FOUNDATION, INC.
City	:	CHICAGO
State	:	IL
Zip	:	60611-4546
Country	:	US
Telephone Number	:	312-695-9797
Fax Number	:

Provider Business Practice Location Address
First Line	:	251 E HURON ST
Second Line	:	NORTHWESTERN MEMORIAL HOSPITAL - GALTER PAVILION 18-250
City	:	CHICAGO
State	:	IL
Zip	:	60611-2908
Country	:	US
Telephone Number	:	312-695-9797
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	12/12/2013

Similar Medicare Providers

1821945759 — NITIN NAGARAJ
Practice Location Address:

251 E HURON ST FL 5
CHICAGO, IL
60611-2908

Practice Phone: 312-926-2000
Practice Fax:

1578418422 — MARY CATHERINE BAKER DNP, AGACNP-BC
Practice Location Address:

251 E HURON ST
CHICAGO, IL
60611-2908

Practice Phone: 312-695-1631
Practice Fax:

1538169636 — GEORGE CHIAMPAS D.O.
Practice Location Address:

251 E HURON ST
CHICAGO, IL
60611-2908

Practice Phone: 312-926-2000
Practice Fax:

1225030711 — DAVID A. CLANTON CRNA
Practice Location Address:

251 E HURON ST STE 5-704
CHICAGO, IL
60611-2908

Practice Phone: 312-695-0061
Practice Fax: 312-926-8341

1417959990 — ANN B MUNOZ CRNA
Practice Location Address:

251 E HURON ST , FEINBERG 5-704
CHICAGO, IL
60611-2908

Practice Phone: 312-695-0061
Practice Fax:

1578540795 — GARY L DILLEHAY MD
Practice Location Address:

251 E HURON ST , NUCLEAR MEDICINE, GALTER 8-110
CHICAGO, IL
60611-2908

Practice Phone: 312-926-5119
Practice Fax: 708-216-9033

Directions to “ DR. MYLES SELIG WOLF MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.